| NPI | 1861146565 |
|---|---|
| Other Name | MINNIE BLACKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06289700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06606600) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2024-06-20 |